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Therapeutic Modalities: The Art and Science 2nd Edition, (Ebook PDF) full chapter instant download
Therapeutic Modalities: The Art and Science 2nd Edition, (Ebook PDF) full chapter instant download
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Preface
We are excited to share this updated and expanded second • Extensive revision and expansion of the chapters
edition of Therapeutic Modalities: The Art and Science. We on Healing, Pain Principles, Pain Application, and
appreciate the kind remarks regarding the first edition and Massage
the helpful suggestions for improving it. • Clarification and minor additions to the chapters
The use of therapeutic modalities, like clinical practice on Record Keeping, Thermotherapy Application,
in all the health professions, is an art—an art influenced Cryotherapy Application, Diathermy, and Traction
by experience and tradition as well as by science and the- • Reordering of parts so that Electrotherapy follows
ory. It would be easier if using therapeutic modalities were Thermotherapy
based entirely on scientific fact, but this is not the case. • 511 new references, a 65% increase over the 789 refer-
When research is inadequate, the clinician must rely on ences in the first edition
tradition and experience to guide application. Hence we • 135 new definitions in the glossary
have subtitled this textbook The Art and Science. • Case studies in the Principles chapters that illustrate
Clinicians need to understand both the how and the how we have clinically applied the principles being
why of therapeutic modality use to be thinking, decision- presented
making professionals rather than technicians. Although • “Critical Thinking” queries have been retitled as
there is a theoretical basis for each modality application, “Concept Check” to reflect their reality.
the robustness of the theories varies. Some theories have • Discovery and learning activities (labs and application
a solid science base, whereas others are derived mostly checks) to enhance reader comprehension are now on
from tradition. The lack of a scientific basis does not a Website rather than in a separate clinical activities
mean a theory is wrong, but that it might be uncertain. manual.
We have made a great effort to help readers understand
the basis of the theories without overwhelming them
with detail and depth. Studying the development of What has not Changed?
various theories will help students sharpen their critical-
thinking skills. Only then will they become profession- • The most important question ever asked, “Why?”
als and have the ability to make proper decisions about • Our conversational tone
which modality to use when, to keep up with future • Our efforts to tell a complex story in a simple way
developments, and to evaluate intelligently the claims of • Liberal use of illustrations to illustrate principles—
manufacturers. more than 280 photos, charts, and graphs in this
edition
• Reliance on our extensive clinical and research experi-
The Audience ence, research that has been stimulated by clinical ques-
tions and geared to answer those clinical questions
This introductory text is intended primarily for under-
graduate students and others new to therapeutic modali-
ties. We feel, however, that the book has much to offer to Evidence-Based Medicine
graduate students, clinicians, and those who may not be
current with all the latest research and techniques in the Our efforts to expand the information on evidence-based
field. medicine (EBM) previously in Chapter 1 lead to a lengthy
new chapter (Chapter 2) with 233 references. We cel-
ebrate the EBM concept and movement, but are dismayed
What’s New in this Edition? by the misunderstanding and misinterpretation of it. In
part, misunderstanding is the result of the lack of a sin-
• A new chapter, Evidence-Based Medicine, the first gle source that summarizes the philosophy, development,
comprehensive work on EBM in the athletic training and application of evidence in general, as well as evidence-
literature based medicine. There has been a great effort in athletic
vi
viii
xii
Gianluca Del Rossi, PhD, ATC Jerald D. Hawkins, EdD, ATC, FACSM
Assistant Professor Professor
University of South Florida Lander University
Tampa, Florida Greenwood, South Carolina
Brian K. Farr, MA, ATC, LAT, CSCS Paul Higgs, MEd, ATC, LAT
Director, Athletic Training Education Program Head Athletic Trainer
The University of Texas at Austin Georgia College and State University
Austin, Texas Milledgeville, Georgia
Susan Lowe, PT, DPT, MS, GCS Matthew S. O’Brien, PhD, ATC
Associate Clinical Professor Assistant Professor
Northeastern University Oklahoma State University
Boston, Massachusetts Stillwater, Oklahoma
Tsega A. Mehreteab, PT, MS, DPT Robert W. Pettitt, PhD, ATC, CSCS
Clinical Professor Program Director, Athletic Training
New York University California State University, Fresno
New York, New York Fresno, California
1 THERAPEUTIC MODALITIES: WHAT THEY ARE AND WHY THEY ARE USED 2
Defining and Classifying Therapeutic Modalities 3
Maximizing the Effectiveness of Therapeutic Modalities 4
Selecting a Therapeutic Modality 5
Rehabilitation and Therapeutic Modalities 5
A Systems Approach to Rehabilitation 7
The Psychology of Rehabilitation 13
Preparation for Using Therapeutic Modalities 15
2 EVIDENCE-BASED PRACTICE 19
The Philosophy of Evidence-Based Medicine 20
Clinical Decision Making 23
Principles of Evidence-Based Medicine 25
Evidence 25
Generating Evidence for Evidence-Based Practice 27
Synthesizing Evidence-Based Medical Data 31
Laboratory to the Bedside: Using Evidence 39
Application of Evidence-Based Medicine 44
Impediments to Evidence-Based Practice 44
Becoming an Evidence-Based Practitioner, Revisited 45
15 DIATHERMY 283
Introducing Diathermy 284
Types of Diathermy 284
Continuous and Pulsed Shortwave Diathermy 287
PART V: ELECTROTHERAPY
Chapter Outline
Defining and Classifying Therapeutic Rehabilitation and Therapeutic Modalities
Modalities Rehabilitation Defined
Maximizing the Effectiveness of Therapeutic Four Erroneous Concepts About Rehabilitation
Modalities
A Systems Approach to Rehabilitation
Art and Science
Twelve Principles of Orthopedic Injury
Knobology Rehabilitation
Application: Evidence Versus Opinion, Rumor The 10 Core Goals of Orthopedic Injury
Versus Reality, Fact Versus Fiction Rehabilitation
Clinical Decision Making The Psychology of Rehabilitation
Selecting a Therapeutic Modality Preparation for Using Therapeutic Modalities
Whose Decision?
Selection Criteria
OPENING SCENE
A father enlisted his young son to help remove a small dead
tree from their yard. The eager boy got a small hatchet
from the garage and began feverishly chopping away at
tree limbs (Fig. 1.1). Although he worked very hard, his
progress was slow. The father appeared with a power saw
and quickly cut off the limbs and trunk. He said, “Son, it’s
important to work hard—but it’s even more important to
work smart. We could use that little hatchet and work hard
FIGURE 1.1 You can get the job done
with the wrong tool, but it takes longer
all day chopping up these limbs, or we can work smart and
and the result might not be as successful. use the right tool to finish the job in just minutes.”